Individual
ELLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1019 W EADS PKWY, LAWRENCEBURG, IN 47025-1162
(812) 496-5828
Mailing address
2110 HARTLAND BLVD, INDEPENDENCE, KY 41051-7805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10929
KY
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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